Individual
ANTHONY MEDAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 LEMOINE AVE STE 1G, FORT LEE, NJ 07024-6030
(877) 959-8180
Mailing address
2185 LEMOINE AVE STE 1G, FORT LEE, NJ 07024-6030
(877) 959-8180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00840800
NJ
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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